A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL IV to infuse over 10 hours. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round to the nearest whole number.)

Choice A reason: Absence of grief feelings after 18 months may indicate denial, not resolution, as grief involves amygdala-driven emotional processing. Suppressing loss via prefrontal cortex inhibition suggests unresolved cortisol and serotonin dysregulation, not successful grieving.

Choice B reason: Realistic recall of both positive and negative aspects after 15 months reflects grief resolution, with balanced amygdala-prefrontal cortex processing. This indicates serotonin-mediated emotional integration, allowing acceptance without excessive cortisol-driven distress, marking successful grieving.

Choice C reason: Talking as if the spouse is alive after 3 years suggests prolonged grief, with persistent amygdala-driven emotional distress and cortisol elevation. This indicates unresolved neural dysregulation, not successful grieving, as acceptance is not achieved.

Choice D reason: Keeping belongings unchanged for 2 years suggests prolonged grief, reflecting amygdala-driven attachment and cortisol surges. This indicates unresolved emotional processing, not successful grieving, as serotonin-mediated acceptance and neural integration are incomplete.

Choice A reason: Less assertiveness does not address anger’s neurobiology. Anger involves amygdala-driven norepinephrine and glutamate surges, and reducing assertiveness may suppress healthy expression, not resolve underlying neural hyperactivity, making this statement inaccurate for anger management.

Choice B reason: Suppressing anger is not positive, as it increases amygdala-driven stress and cortisol, potentially worsening emotional dysregulation. Healthy anger expression engages prefrontal cortex modulation, and suppression can exacerbate neural imbalances, making this statement false.

Choice C reason: Anger is a normal emotion, driven by amygdala activation and norepinephrine release. When channeled constructively, it engages prefrontal cortex regulation, facilitating conflict resolution by addressing underlying issues, making this a true and therapeutic statement about anger’s role.

Choice D reason: Punching a wall is destructive, escalating amygdala-driven aggression and norepinephrine surges without resolving conflict. It risks reinforcing maladaptive neural pathways, increasing impulsivity, and does not engage prefrontal cortex for healthy anger management, making this false.